Employer
Serrala Services Us, LLC
910 Harvest Dr, Blue Bell, PA 19422 · EIN 23-3071971 · Jan 1, 2021 to Dec 31, 2021
Plan year 2021
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $104,980
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Blue Cross Blue Shield Of Illinois | Axion Rms Ltd | 244 | $60,055 3.9% of $1,538,282 |
| Dental | Delta Dental Of Illinois | Axion Rms Ltd | 101 | $12,481 9.8% of $127,962 |
| Vision | Sun Life Assurance Company Of Canada | Axion Rms Ltd | 136 | $32,444 18.3% of $177,406 |
Schedule C
Additional compensation
Plan-paid amounts to each named party on the filing, with the role they reported. This is not a carrier commission and is not added to Schedule A.
No Schedule C parties in this year.